The Impact Of Physician Communication On Family Inpatient Experience

NCT01298791 | Withdrawn

• 1 other identifier: 34423
• Study Type: interventional
• Target: N/A
• Locations: 1 country
• Sites: 1

Brief Summary

Patient satisfaction is affected by physician communication styles and communication at the bedside. The investigators are conducting a randomized controlled trial involving both providers and families to determine if providers sitting down while talking with families, will improve one aspect of quality care delivered during an inpatient stay as measured by patient/family satisfaction. The investigators will additionally study the affects of the intervention on the following outcomes: family assessment of provider communication, readmission rates, and length of stay.

Conditions

Parental/Patient Satisfaction

Outcome Measures

Primary Outcomes (3)

• Patient/family satisfaction

  Questionnaire obtains basic provider information

  4mo

• Patient/family Satisfaction

  Caregiver questionnaire obtains baseline information on caregiver and patients

  4 mo

• Patient/family satisfaction

  PSQ-18: Assesses parental satisfaction with medical care

  4 months

Secondary Outcomes (5)

• Length of stay

  4 months

• Readmission rate

  5 mo

• Family discharge preparedness

  4 mo

• Follow-up appointment attendance

  5 mo

• Family assessment of doctor-patient communication skills

  4 mo

Study Arms (2)

Provider sitting

EXPERIMENTAL

Providers seated during communication through hospitalization

Behavioral: Sitting

Provider standing (control)

EXPERIMENTAL

Providers standing during communication through hospitalization

Behavioral: Standing

Interventions

Sitting BEHAVIORAL

Providers will sit during inpatient family-centered walk rounds throughout the communication during rounds. The participating members of the care team (attending physician, resident and medical student) will remain seated while communicating with the patient and caregiver.

Provider sitting

Standing BEHAVIORAL

Providers will stand during inpatient family-centered walk rounds throughout the communication during rounds. The participating members of the care team (attending physician, resident and medical student) will remain standing while communicating with the patient and caregiver.

Provider standing (control)

Eligibility Criteria

• Age: Up to 17 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Providers: all attendings, residents, and medical students involved in the care of patients on the pediatric inpatient wards during the study period.
• Families (Parents or legal guardians and children):
• (1) inpatient admissions to the pediatrics medical service at Boston Medical Center
• (2) whose parents or guardian have agreed to participate in family centered walk rounds
• (3) patients age 17 or younger who have family members present at the bedside each morning of hospitalization
• (4) English speaking.

You may not qualify if:

• (1) All patients/families that as part of admission justification involves social assessment and concern by the patient care team, including patients with neonatal abstinence syndrome, child maltreatment, and concern for neglect.
• (2) All patients transferred to or from PICU as part of their inpatient care
• (3) All patients transferred from an outside institution to the inpatient ward for further care secondary to progression of disease.

Sponsors & Collaborators

• Boston Medical Center: lead

Study Sites (1)

Boston Medical Center

Boston, Massachusetts, 02118, United States

Location

MeSH Terms

Conditions

Patient Satisfaction

Interventions

Sitting Position; Standing Position

Condition Hierarchy (Ancestors)

Treatment Adherence and Compliance; Health Behavior; Behavior

Intervention Hierarchy (Ancestors)

Posture; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• Michael Silverstein, MD, MPH

  Boston Medical Center

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: BMC Attending Physician

Study Record Dates

• First Submitted: February 16, 2011
• First Posted: February 18, 2011
• Study Start: February 1, 2011
• Primary Completion: June 1, 2011
• Study Completion: August 1, 2011
• Last Updated: October 10, 2016

Record last verified: 2016-10

Locations

US (1)